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Special Care Nursery

Miranda Davies-Tuck, Joanne C Mockler, Lynne Stewart, Michelle Knight, Euan M Wallace
BACKGROUND: We aimed to determine whether the association between obesity and a range of adverse maternal and perinatal outcomes differed in South Asian and Australian and New Zealand born women. METHODS: A retrospective cohort study of singleton births in South Asian (SA) and Australian/New Zealand (AUS/NZ) born women at an Australian hospital between 2009 and 2013. The interaction between maternal region of birth and obesity on a range of maternal and perinatal outcomes was assessed using multivariate logistic regression...
September 29, 2016: BMC Pregnancy and Childbirth
Julie Brown, John Kam Hung Sinn, Aileen Chua, Elizabeth Clare Clarke
INTRODUCTION: Child restraint fit is important for crash protection. For newborns, standards universally require a rear-facing restraint and some upper limit on size, but historically there has been no specification of a lower design limit and there is concern over whether low birthweight infants (LBW) are adequately restrained. The aim of this study was to determine the quality of harness fit for newborns of low and normal weight in a range of modern child restraints. METHODS: A convenience sample of infants (1...
July 15, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
Ravisha Srinivasjois, Desiree Silva
BACKGROUND: Elective caesarean section is associated with an increased risk of respiratory morbidity and admission to special care nursery even at full-term gestation. AIM: To systematically review the efficacy of antenatal steroid administration to prevent neonatal morbidity at full-term. Only randomised and quasirandomised controlled trials were selected. METHODS: Standardised methodology as described by the Cochrane neonatal review group was used for data collection and analysis...
July 20, 2016: Journal of Maternal-fetal & Neonatal Medicine
Josh Griffin, Alicia Heald, Lucy Davidson, Alison L Kent
AIM: Sudden Infant Death Syndrome (SIDS) remains one of the largest causes of infant mortality worldwide, and despite widespread educational campaigns compliance to safe sleeping guidelines remains low in many areas. Hospital staff play a significant role in educating parents on safe sleeping recommendations and providing appropriate sleeping environments for infants. The aim of the study was to evaluate adherence to safe sleeping guidelines in a special care nursery (SCN) and general paediatric ward (GPW)...
May 2016: Journal of Paediatrics and Child Health
Aimee Knorr, Kimberlee Gauvreau, Courtney L Porter, Emily Serino, Michele DeGrazia
OBJECTIVE: To examine the feasibility, effectiveness, and safety of the cranial cup for the correction of visible head shape deformities in premature infants. DESIGN: A prospective descriptive research design. SETTING: Two study sites, an urban Level 4 NICU and a suburban Level 2 special care nursery. PARTICIPANTS: The study sample consisted of 23 neonates and infants with deformational plagiocephaly who were born at less than or equal to 35 weeks gestation, weighed greater than 1 kg, and were in the convalescent phase (stable) of their hospitalizations...
July 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Helen Shoemark, Edward Harcourt, Sarah J Arnup, Rod W Hunt
AIM: The purpose of this study is to characterise ambient sound levels of paediatric and neonatal intensive care units in an old and new hospital according to current standards. METHODS: The sound environment was surveyed for 24-h data collection periods (n = 80) in the Neonatal and Paediatric Intensive Care Units (NICUs and PICUs) and Special Care Nursery of the old and new Royal Children's Hospital Melbourne. The ambient sound environment was characterised as the proportion of time the ongoing ambient sound met standard benchmarks, the mean 5-s sound levels and the number and duration of noise events...
April 2016: Journal of Paediatrics and Child Health
Beier Qi, Hui En, Lihui Huang
The incidence of hearing impairment in neonatal intensive care unit (NICU) was much higher than that of well-baby nursery. The incidence of the former was 2%-4%, whereas that of the latter was 0.1%-0.3%. Furthermore, the incidence of auditory neuropathy spectrum disorder, progressive and delayed hearing loss was also higher than those of other infants. Therefore, the newborn hearing screening program in NICU has become an important part of pediatric audiology. In this paper, we reviewed the previous studies and suggested the special procedure of hearing screening and following-up which based on the physiological and pathological characteristics of NICU in order to detect hearing impaired as early as possible...
December 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
A M Ashman, C E Collins, L Weatherall, L J Brown, M E Rollo, D Clausen, C C Blackwell, K G Pringle, J Attia, R Smith, E R Lumbers, K M Rae
Indigenous Australians have high rates of chronic diseases, the causes of which are complex and include social and environmental determinants. Early experiences in utero may also predispose to later-life disease development. The Gomeroi gaaynggal study was established to explore intrauterine origins of renal disease, diabetes and growth in order to inform the development of health programmes for Indigenous Australian women and children. Pregnant women are recruited from antenatal clinics in Tamworth, Newcastle and Walgett, New South Wales, Australia, by Indigenous research assistants...
August 2016: Journal of Developmental Origins of Health and Disease
Yu Sun Bin, Peter A Cistulli, Jane B Ford
STUDY OBJECTIVES: To examine the association between sleep apnea and pregnancy outcomes in a large population-based cohort. METHODS: Population-based cohort study using linked birth and hospital records was conducted in New South Wales, Australia. Participants were all women who gave birth from 2002 to 2012 (n = 636,227). Sleep apnea in the year before pregnancy or during pregnancy was identified from hospital records. Outcomes of interest were gestational diabetes, pregnancy hypertension, planned delivery, caesarean section, preterm birth, perinatal death, 5-minute Apgar score, admission to neonatal intensive care or special care nursery, and infant size for gestational age...
2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Rachelle Jones, Liz Jones, Anne-Marie Feary
OBJECTIVE: To examine the relationships among special care nursery design, parental presence, breastfeeding, psychological distress, hospital-related stress, and maternal parenting self-efficacy at the infant's discharge from hospital and at 4 months postdischarge. DESIGN: We used a causal comparative design to compare two special care nursery designs: open ward nursery (OW) and single-family room (SFR) nursery. SETTING: Special care nurseries of two tertiary hospitals on the Gold Coast, Australia, with the newly built second hospital replacing the first...
May 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Susan Peloquin, Annette Carley, Sonia L Bonifacio, Hannah C Glass
Neonatal neurocritical care is an emerging subspecialty that combines the expertise of critical care medicine and neurology with that of nursing and other providers in an interprofessional team approach to care. Neurocritical care of the neonate has roots in adult and pediatric practice. It has been demonstrated that adults with acute neurologic conditions who are treated in a specialized neurocritical care unit have reduced morbidity and mortality, as well as decreased length of stay, lower costs, and reduced need for neurosurgical procedures...
2016: Neonatal Network: NN
Kaori Ishiguro, Shin-Ichi Yoshioka
BACKGROUND: Nursery schools and kindergartens have been struggling to cope with increasing numbers of children with special needs. Hence, we conducted a study on what nursery school teachers (NSTs) will require regarding learning and societal resources for supporting such children in the future. METHODS: A questionnaire survey was conducted for 2,476 NSTs employed in 154 nursery schools in Shimane and Kochi Prefectures. The questionnaires were sent by post to officials at each nursery school...
March 2016: Yonago Acta Medica
Christopher R H White, Dorota A Doherty, Jeffrey W Cannon, Rolland Kohan, John P Newnham, Craig E Pennell
OBJECTIVE: There is an increasing body of literature supporting universal umbilical cord blood gas analysis (UCBGA) into all maternity units. A significant impediment to UCBGA's introduction is the perceived expense of the introduction and associated ongoing costs. Consequently, this study set out to conduct the first cost-effectiveness analysis of introducing universal UCBGA. METHODS: Analysis was based on 42,100 consecutive deliveries ≥23 weeks of gestation at a single tertiary obstetric unit...
July 1, 2016: Journal of Perinatal Medicine
Ashish Kc, Mats Målqvist, Nisha Rana, Linda Jarawka Ranneberg, Ola Andersson
BACKGROUND: Delayed cord clamping at birth has shown to benefit neonates with increased placental transfusion leading to higher haemoglobin concentrations, additional iron stores and less anaemia later in infancy, higher red blood cell flow to vital organs and better cardiopulmonary adaptation. As iron deficiency in infants even without anaemia has been associated with impaired development, delayed cord clamping seems to benefit full term infants also in regions with a relatively low prevalence of iron deficiency anaemia...
March 10, 2016: BMC Pediatrics
Claire Sutton, Prue Standen, Jade Acton, Christopher Griffin
A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm...
2016: Case Reports in Obstetrics and Gynecology
Heather Waterfall, Rosalie M Grivell, Jodie M Dodd
BACKGROUND: Caesarean section involves making an incision in the woman's abdomen and cutting through the uterine muscle. The baby is then delivered through that incision. Difficult caesarean birth may result in injury for the infant or complications for the mother. Methods to assist with delivery include vacuum or forceps extraction or manual delivery utilising fundal pressure. Medication that relaxes the uterus (tocolytic medication) may facilitate the birth of the baby at caesarean section...
2016: Cochrane Database of Systematic Reviews
Jamie L Hutcheson, Susan E Cheeseman
To improve family-infant bonding while newborns were separated from their parents, work began to develop a new Childbirth Center policy to guide staff in using Apple's FaceTime application with patients. Multidisciplinary meetings were held to obtain consent for the use of FaceTime and to protect patient information. We acquired two iPads and the support needed for updates. The staff was educated, and implementation began in January, 2014. This program improved bonding as evidenced by feedback received from the parents who utilized it...
2015: Neonatal Network: NN
Stephanie Baber, Joanne Michalitsis, Michael Fahey, Barry Rawicki, Terry Haines, Cylie Williams
OBJECTIVE: To determine and compare the birth history or postnatal complications of idiopathic toe walking (ITW) and toe walking known to be associated with a medical condition. STUDY DESIGN: This was a retrospective chart review of parent-reported birth histories of children who presented to a dedicated toe-walking clinic between 2010 and 2014. This cohort comprised children diagnosed with ITW and children with a medical reason for their toe-walking gait. Data were compared with Australian Perinatal statistical normative data...
April 2016: Journal of Pediatrics
Leandro Cordero, Krista Rath, Katherine Zheng, Mark B Landon, Craig A Nankervis
OBJECTIVE: To review our 4-year experience (2008-2011) with delivery room triage of large for gestational age infants of diabetic mothers. DESIGN/METHODS: Retrospective cohort investigation of 311 large for gestational age infants of diabetic mothers (White's Class A1 (77), A2 (87), B (77), and C-R (70)). RESULTS: Of 311 women, 31% delivered at 34-36 weeks gestational age and 69% at term. While 70% were delivered by cesarean, 30% were vaginal deliveries...
2014: SAGE Open Medicine
Valery A Danilack, Janet H Muri, David A Savitz, Donna L Caldwell, Carolyn L Wood
OBJECTIVE: Relatively healthy newborns of mothers with gestational diabetes mellitus (GDM) sometimes receive unwarranted surveillance. We studied the relationship between hospital characteristics and special care nursery use and total length of stay among GDM deliveries. METHODS: We identified GDM deliveries at 44 USA member hospitals of the National Perinatal Information Center from 2007 to 2011. To study low risk, relatively healthy newborns with presumed discretion in special care nursery use, we analyzed 43 444 singleton newborns with only minor or moderate complications and WHO were not preterm or low birthweight...
September 2016: Journal of Maternal-fetal & Neonatal Medicine
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